Individual
MRS. SREEJAYA REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 STATE AVENUE, STE B, GLASGOW, KY 42141
(270) 651-1437
(280) 651-2617
Mailing address
101 STATE AVENUE, STE B, GLASGOW, KY 42141
(270) 651-1437
(280) 651-2617
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21028
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64210289
—
KY
Enumeration date
08/05/2006
Last updated
07/08/2007
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